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NPI Code Detail

MEDICARE: KATHLEEN PATRICIA HEALY RD

MEDICARE:   KATHLEEN PATRICIA HEALY  RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1518891464
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN PATRICIA HEALY RD
Provider Business Mailing Address
First Line : 10320 BOULDER LN APT 221
Second Line :
City : AUSTIN
State : TX
Zip : 78726-1840
Country : US
Telephone Number : 512-291-7736
Fax Number :
Provider Business Practice Location Address
First Line : 10320 BOULDER LN APT 221
Second Line :
City : AUSTIN
State : TX
Zip : 78726-1840
Country : US
Telephone Number : 512-291-7736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ KATHLEEN PATRICIA HEALY RD” Practice Location

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